Susan Kunkel, OTR/L

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT-1818 Issued in ID

Practice address

564 S Woodruff Ave
Idaho Falls, ID 83401-5298

Phone

(208) 552-1759

NPI assigned

Nov 4, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kokua RehabilitationGroup PAC ID 0648606129, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kokua Rehabilitation

  • Hand Occupational Therapist
  • Pocatello, ID
  • NPI 1083262042
  Medicare reassignment Care Compare group NPD
• Idaho Falls Hand Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Idaho Falls, ID
  • NPI 1134625338

  Occupational Therapist

  Medicare reassignment NPD
• Hand and Upper Extremity Center, Inc

  • Occupational Therapist
  • Pocatello, ID
  • NPI 1164654398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1316548555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015298",
            "telephone_number": "208-523-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015298",
            "telephone_number": "208-552-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNKEL",
        "first_name": "SUSAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-04",
        "last_updated": "2022-01-24",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "ID",
            "license": "OT-1818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie M Kuestner, M.D.
• Richie Lynn Kuipers, M.COUN
• Kevin Michael Kula
• Breanna L Kump, PTA-288
• Kathleen Kunkel
• David Douglas Kunz
• Katie Kunz
• Laura Lynn Kunz, COTA/L
• Sally Kupchock, NP
• Kylin Kovac DPM PLLC

• Hand Occupational Therapist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Hand Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.